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Application for 1915(c) HUBS Waiver: MS.0255. R05.00 Jul 01, 2017Page 1 of 133Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home
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How to fill out home and community-based services

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Gather all necessary documents and information, such as personal identification, medical history, and financial records.
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Contact your local home and community-based services agency to inquire about the application process.
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Complete the application form thoroughly and accurately, providing detailed information about your needs and preferences.
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Provide any additional documentation or assessments required by the agency, such as proof of disability or medical evaluations.
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Submit the application along with all supporting documents to the agency either in person, by mail, or online if applicable.
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Attend any scheduled interviews or assessments to further evaluate your eligibility and needs for home and community-based services.
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Follow up with the agency periodically to check on the status of your application and to provide any additional information if needed.
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Once approved, work closely with the agency to develop a personalized plan of care that meets your specific needs and goals.

Who needs home and community-based services?

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Home and community-based services are designed for individuals who require assistance with daily activities due to age, disability, or health conditions.
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This can include older adults who have difficulty performing tasks such as cooking, bathing, or managing medications.
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It also includes individuals with physical or cognitive disabilities who need support to live independently in their own homes or communities.
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Those with chronic illnesses or conditions that limit their mobility or functionality may also benefit from home and community-based services.
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Ultimately, anyone who needs help and support to maintain their quality of life and remain in their preferred living environment can potentially benefit from these services.
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Home and community-based services are long-term care services provided to individuals in their own homes or in community settings, rather than in nursing homes or other institutions.
Providers of home and community-based services are required to file reports on the services they provide.
To fill out home and community-based services, providers must report on the specific services provided, the individuals receiving the services, and any outcomes or results of the services.
The purpose of home and community-based services is to allow individuals to receive long-term care in their preferred setting, such as their own home or in the community, while maintaining their independence and quality of life.
Providers must report on the specific services provided, the individuals receiving the services, any outcomes or results of the services, as well as any challenges or successes encountered in providing the services.
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